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THE NATIONAL DIABETES & OBESITY RESEARCH INSTITUTE AT TRADITION MISSI NPI 1003397530


NPI Information

NPI: 1003397530
Provider Name: THE NATIONAL DIABETES & OBESITY RESEARCH INSTITUTE AT TRADITION, MISSI
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 25D2154751

Address:
19289 ST. JOSEPH STREET
SUITE C
BILOXI, MS
ZIP 39532
Phone: (228) 831-8764
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THE NATIONAL DIABETES & OBESITY RESEARCH INSTITUTE AT TRADITION, MISSI is an endocrinology and diabetes and metabolism internal medicine in Biloxi, MS. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. THE NATIONAL DIABETES & OBESITY RESEARCH INSTITUTE AT TRADITION, MISSI NPI is 1003397530. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19289 ST. JOSEPH STREET
SUITE C
BILOXI, MS
ZIP 39532
Phone: (228) 831-8764
Fax: (228) 233-1252

The provider's authorized official is Peter J. Fos .
The authorized official title is Executive Director and has the following contact phone number (228) 831-8764.

The CLIA number assigned to this NPI record is 25D2154751 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2018 and was last updated on 10/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredNo
2363LF0000XNurse PractitionerFamilyNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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